Individual
ANDREA WHITING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3841 SAGEBRIAR DR, BRYAN, TX 77802-6107
(210) 447-0039
(210) 579-7100
Mailing address
9314 RYDER DR, SAN ANTONIO, TX 78254-2000
(210) 447-0039
(210) 579-7100
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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